剖宫产同时子宫肌瘤剔除术分析

Analysis of the combination of cesarean section and hysteromyomectomy

目的 :探讨剖宫产同时行子宫肌瘤剔除术是否增加出血、感染、术后病率及手术后住院日。方法 :对剖宫产同时行子宫肌瘤剔除术 5 6例进行分析 ,手术均于腹膜内进行 ,先行剖宫产 ,然后肌瘤剔除。切口设计、剔除方式与非妊娠期子宫肌瘤剔除法相同。取同期妊娠合并子宫肌瘤仅行剖宫产的患者作对照。结果 :两组术时出血 ,术后病率均无明显差异 ,两组患者切口全部甲级愈合 ,病理检查结果显示 ,妊娠合并子宫肌瘤患者其肌瘤变性率明显增高。结论 :剖宫产同时行子宫肌瘤剔除术 。

Objective To discuss whether the combination of cesarean section and hysteromyomectomy would increase hemorrhage,infection,postoperative disease rate and hospitalization period. Methods Fifty-six patients received cesarean section followed by hysteromyomectomy,which was inside peritoneum.The design of incisions and operation procedure were as same as simple hysteromyomectomy.Patients with pregnancy complicated with hysteromyoma who only received hysteromyomectomy at same time were chosen as control group.Results There was no significant difference in hemorrhage and postoperative disease rate between two groups.All patients recovered .The pathology showed that degeneration rate of hysteromyoma in pregnant women was obviously higher.Conclusion Hysteromyomectomy when cesarean section is practicable and necessary.